Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996-2015.

Zhang, Jia; Wan, Shaoping; Dong, Fen; Pan, Li; Yihuo, Wuli; Gong, Haiying; Yang, Fang; Li, Zheng; Li, Guoju; Wang, Xiaoyang; Shan, Guangliang

Zhang, Jia; Wan, Shaoping; Dong, Fen; Pan, Li; Yihuo, Wuli; Gong, Haiying; Yang, Fang; Li, Zheng; Li, Guoju; Wang, Xiaoyang; Shan, Guangliang.

Afiliación

Zhang J; Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, China.
Wan S; Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Cancer Hospital Affiliated to School of Medicine, UESTC, Chengdu, Sichuan 610041, China.
Dong F; China-Japan Friendship Hospital, Beijing 100029, China.
Pan L; Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, China.
Yihuo W; Puge County Center for Disease Control and Prevention, Liangshan, Sichuan 615300, China.
Gong H; Beijing Fangshan Center for Disease Control and Prevention, Beijing 102440, China.
Yang F; Xichang Municipal Center for Disease Control and Prevention, Xichang, Sichuan 615000, China.
Li Z; Xichang Municipal Center for Disease Control and Prevention, Xichang, Sichuan 615000, China.
Li G; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong 266011, China.
Wang X; The People's Hospital of Bao'an, Shenzhen, Guangdong 518101, China.
Shan G; Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, China.

Int J Hypertens ; 2020: 5368357, 2020.

Article en En | MEDLINE | ID: mdl-32292597

RESUMEN

BACKGROUND: Rising hypertension prevalence, coupled with increasing overweight and obesity rates, has been observed in Yi people. Moreover, the growing blood pressure level among Yi people was mostly attributable to the continuous increase of body mass index (BMI). However, little is known about the trend of association between them. METHODS: Consequently, we investigated the impact of overweight/obesity on hypertension over three periods (1996, 2007-2008, 2015) using data from Yi Migrant Study (n = 8749). The Yi Migrant Study incorporated three successive cross-sectional studies which were implemented by the same team with consistent protocols. RESULTS: Compared with period 1 (1996), the influence of overweight/obesity on hypertension risk significantly increased in period 2 (2007-2008) and period 3 (2015); relative excess risk due to interaction (RERI) was 1.59 (95% CI: 0.12, 3.05) and 1.41 (95% CI: 0.30, 2.78), respectively. Meanwhile, the overweight/obese population in period 3 did not show hypertension risk higher than that in period 2 (RERI = 0.15; 95% CI: -0.76, 1.07). Additionally, we observed a continuously growing trend of hypertension risk among normal weight Yi people. CONCLUSIONS: During the past two decades, there was a significant increase in the association between overweight/obesity and hypertension in Yi people, whereas the increasing trend has leveled off in more recent years. These findings suggest that overweight/obesity and hypertension are becoming more epidemic comorbidity over time. Interventions to prevent hypertension should focus not only on the overweight/obese population, but also on those with normal weight.

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Int J Hypertens Año: 2020 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos

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